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General NPI Number Information
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NPI Number | 1710824057
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Entity Type | Individual
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Provider Name | JENNA RENAE CESTA MSN, APRN, AGPCNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 800 E SUMMIT ST
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City | KENT
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State | OH
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Zip | 44242-0001
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Country | US
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Telephone | 330-672-7930
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Fax |
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Provider Business Mailing Address
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Address Line | 3063 IVY HILL CIR UNIT D
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City | CORTLAND
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State | OH
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Zip | 44410-9357
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Country | US
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Telephone | 330-980-6254
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | LE-00062608
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License Number State | OH
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